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WCC® Recertification Handbook November 2019

WCC® Recertification Handbook - Wound Care CertificationThe National Alliance of Wound Care and Ostomy® (NAWCO®) is a non-profit organization that is dedicated to the advancement

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Page 1: WCC® Recertification Handbook - Wound Care CertificationThe National Alliance of Wound Care and Ostomy® (NAWCO®) is a non-profit organization that is dedicated to the advancement

WCC®Recertification

Handbook November 2019

Page 2: WCC® Recertification Handbook - Wound Care CertificationThe National Alliance of Wound Care and Ostomy® (NAWCO®) is a non-profit organization that is dedicated to the advancement

The National Alliance of Wound Care and Ostomy® (NAWCO®) is a non-profit organization that is dedicated to the advancement and promotion of excellence in wound care through the certification of wound care practitioners in the United States. The NAWCO® is the governing and accrediting body of the WCC® credential.

The NAWCO® offers the Wound Care Certification WCC® Examination to measure academic and technical competence of eligible candidates in the area of Skin and Wound Care Management. Initial certification as a WCC® is awarded for a five (5) year period upon receiving a passing score on the examination. Upon expiration of the credentialing term, the WCC® required to recertify with the NAWCO® to maintain their credentials.

This handbook contains information regarding the Wound Care Certified, WCC® Recertification process of the National Alliance of Wound Care and Ostomy®.

The information contained in this Candidate Handbook is the property of National Alliance of Wound Care and Ostomy® and is provided to candidates who will be taking the certification examination. Copies of this handbook may be downloaded for single personal use, but no part of this handbook may be copied for preparing new works, distribution or for commercial use. NAWCO® does not provide permission for use of any part of the handbook.

To avoid problems in processing your application, it is important that you follow the guidelines outlined in this handbook and comply with our required deadlines. If you have any questions about the policies, procedures, or processing of your application after reading this handbook, please contact the National Alliance of Wound Care and Ostomy®. Additional copies of the handbook may be obtained from our website: www.nawccb.org. For assistance, please contact us at 1-877-922-6292 or by email at [email protected]

Checklist

Read the Handbook cover to cover. Complete, sign and submit recertification application online Include payment including recertification fee and application processing fee ($380.00) Include additional forms (If applicable):

Continuing Education Verification Form - Appendix A Request for Special Examination Accommodations Documentation of Disability-Related Needs

Contact information National Alliance of Wound Care and Ostomy® PO BOX 235 Somonauk, IL 60552 or fax to: 1-800-352-8339 or email: [email protected]

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Table of ContentsObjectives of Recertification 4 ....................................................................................

Definition of Continuing Competence 4 .......................................................................

Rationale for Recertification Period 4 ...........................................................................

Administration 4 ......................................................................................................

Credentials 4 ..........................................................................................................

Scope of Practice 4 ..................................................................................................Advanced Practice Registered Nurse (APRN) 5 .........................................................................Registered Nurse (RN) 5 .....................................................................................................Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) 6 .................................................Physical Therapist (PT)/Occupational Therapist (OT) 6 ...............................................................Physical Therapy Assistant (PTA) 6 ........................................................................................Occupational Therapy Assistant/Licensed (OTA) 7 ....................................................................Physician 7 .....................................................................................................................Physician Assistant (PA) 8 ...................................................................................................Doctor of Podiatric Medicine (DPM) 8 ....................................................................................

Recertification Deadlines 9 ........................................................................................

Recertification Fee 9 ...............................................................................................

Recertification Notifications 9 ....................................................................................

Recertification Requirements 9 ...................................................................................

Recertification Options 9 ...........................................................................................Option 1 - Recertification by Examination 9 ............................................................................

Rationale: 10 ...............................................................................................................Requirements: 10 ..........................................................................................................

Option 2 - Recertification by Training 10 ...............................................................................Rationale: 10 ................................................................................................................Requirements: 10 ...........................................................................................................

Option 3 - Recertification by Continuing Education 11 ...............................................................Rationale: 11 ................................................................................................................Requirements: 11 ...........................................................................................................

Option 4 - Recertification by Mentoring 11 .............................................................................Rationale: 11 ................................................................................................................Requirements: 11 ...........................................................................................................

Application Process 12 ..............................................................................................

Recertification Application Instructions 12 .....................................................................

Audit and Verification Process 12 ................................................................................

Recertification Acceptance 12 ....................................................................................

Failure to Recertify 13 ..............................................................................................

Reinstatement of Lapsed Credentials 13 ........................................................................Final Ruling on Lapsed Credentials 14 ...................................................................................

Recertification Agreement Policy/Statement of Understanding 14 ........................................

WCC® Recertification At A Glance 18 ............................................................................

NAWCO® Recertification Application 19 ....................................................................... 2

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Request for Special Examination Accommodations 21 .......................................................

Documentation of Disability-Related Needs 22 ................................................................

Continuing Education Verification Record 23..................................................................

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Objectives of RecertificationThe Certification Committee supports the ongoing professional development of its certificants in all of its certification programs. The mandatory renewal process provides certificants with the opportunity to demonstrate continued competence through the retention, reinforcement, and expansion of their knowledge and skills. Each NAWCO credential requires recertification every five (5) years to maintain use of the credential.

Specific to the WCC credential, the purpose of the WCC recertification program is to promote the continued competence and professional growth of the WCC certificant. The Certification Committee mandates recertification every five years to ensure that the WCC-certified clinician is exposed to clinical advancements and standards of care within the area of skin and wound management. The recertification requirements emphasize active participation in continuing education and practice activities to strengthen competency, knowledge, ability, and skill in the area of skin and wound management.

Definition of Continuing Competence The NAWCO Certification Committee defines continuing competence similarly to the definition provided by the National Commission for Certifying Agencies (NCCA), the accrediting body of the Institute for Credentialing Excellence (ICE). Continuing competence is demonstrating specified levels of knowledge, skills, or ability not only at the time of initial certification but throughout an individual’s professional career. Certification establishes a baseline of competence at the time of initial certification, however it is not enough to promote continuing competence over time. Recertification of the certificant helps to ensure the certified individual is actively involved in activities that enhance the required knowledge, skills, and abilities to perform competently in the job role. Continuing competence is based on lifelong learning throughout the individual’s career.

Rationale for Recertification PeriodThe Certification Committee considered a number of factors when evaluating the five-year timeframe for the certification period including the rate of change in the industry and the timeframe with which new products are introduced to the industry. Additionally, the

committee noted that the baseline protocols for infection control, one of the most important elements of wound and skin care management, have remained consistent. Research supports that current protocols for infection control are still effective and in use. By consensus, the Certification Committee agreed that five years is an appropriate timeframe for the shelf life of the knowledge and skill required to perform the job role.

AdministrationThe WCC® recertification process is governed and administered by the National Alliance of Wound Care and Ostomy® and its Certification Committee.

CredentialsUpon successful completion of the recertification process, candidates may use the initials WCC® Wound Care Certified, to designate their status. Credentials are awarded for a five (5) year period.

Upon expiration of the credentialing term, a WCC® is required to recertify with the NAWCO® to maintain their credentials. WCC® has been registered with the United States Patent and Trademark Office as the official certification mark of the National Alliance of Wound Care and Ostomy®

The NAWCO® will award an official numbered certificate to all candidates upon approval and completion of the NAWCO® recertification program denoting status as WCC® Wound Care Certified. Certificates of Certification remain the sole property of the NAWCO® and must be destroyed in the event of revocation of the credential.

Scope of PracticeThe National Alliance of Wound Care and Ostomy® provides certification to various disciplines in healthcare. The scope of practice for the Wound Care Certified (WCC®) health care professional is performed in accordance with legislation code and scope of practice as determined by each respective professional state regulatory board along with prospective employer mandated guidelines. The WCC certification is based on US practice; however international candidates who meet the eligibility requirements may apply and earn certification The scope of practice established by the National Alliance of Wound Care and Ostomy® provides each certified health care provider with an

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understanding of their role and responsibilities as a member of the interdisciplinary wound care team. The WCC® provides direct hands-on and/or consultative skin and wound management in all health care settings. As with any specialty, certification does not supersede state practice acts nor does it permit a clinician to practice beyond their individual knowledge or expertise. The role of each licensed discipline is provided below.

Advanced Practice Registered Nurse (APRN)Role: The APRN works independently or in collaboration with a physician (according to state practice acts and facility/agency policies) to lead the interdisciplinary wound care team to plan and provide care for the patient at risk of or with wound care needs. Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure, and facility or agency-basedcredentialing and privileging requirements toprescribe medications, order tests andtreatments, and make necessary referrals.

b. Independently or in collaboration with thephysician comprehensively assesses andestablishes wound diagnosis, prognosis, andwound care treatment.

c. As a leader, provides oversight, assistance andguidance to other members of theinterdisciplinary wound care team to establishand provide a comprehensive approach towound management that includes alldisciplines and promotes optimum outcomes.

d. Provides bedside treatments to includeconservative sharp debridement, whenindicated and permitted by state practice actsand facility policy.

e. Independently, or in collaboration with otherinterdisciplinary wound care team members,develops and implements wound prevention,skin management, and wound treatmentprograms and provides correspondingeducation to patients, family members/caregivers, and facility/agency staff.

f. Collaborates with other wound careprofessionals to promote research and assessfindings to establish updated, relevant

approaches to improve wound prevention and wound care practices.

g. Collaborates with other wound care teammembers to promote the facility or agencyquality improvement program.

Registered Nurse (RN)Role: The RN plays a key role in oversight of the patient at-risk of or with wound care needs. Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure.

b. Develops and implements wound prevention,skin management, and wound treatmentprograms and provides correspondingeducation to patients, family members/caregivers, and facility/agency staff.

c. In conjunction with prescribing providersorders (physician, APRN, physician assistant),provides consultation and/or hands-on care forwound prevention or management. Performscomprehensive assessments and reassessmentsto determine the most appropriate and cost-effective use of wound management productsand resources. Hands-on care may includeconservative sharp debridement/chemicalcauterization with a provider order, perfacility guidelines and if allowed according toindividual state practice act.

d. Delegates appropriate wound prevention andwound care actions to LPN/LVNs andunlicensed assistive personnel (e.g. healthtechnicians, nursing assistants).

e. As an interdisciplinary wound care teammember, collaborates to establishindividualized, comprehensive care plans thatpromote wound prevention and healing.

f. Establishes, reevaluates and revises facilitypolicies, procedures, and guidelines governingwound care, based on needs, evidenced-basedtrends, and industry changes.

g. Observes patient’s response and wound status,reporting any changes to the provider orsupervising clinician, according to facility oragency guidelines.

h. Provides and reinforces education to patients,family members/caregivers, and facility/agency staff regarding preventative measures,

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interventions, and individualized patient treatment plans.

i. As a patient advocate, promotes facility/agency-based quality improvement thataddresses wound prevention and thespecialized complex needs of the wound carepatient.

Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN)Role: Under the supervision, delegation, and guidance of the registered nurse or prescribing provider (e.g. physician, APRN, or physician’s assistant), the LPN/LVN provides the prescribed care to the patient at-risk of or with wound care needs. Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure.

b. As an interdisciplinary wound care teammember, provides input for care planconsideration that promotes wound preventionand healing.

c. Implements preventative care, monitors skinstatus, and performs wound treatments perorders in the individualized patient’streatment plan.

d. Provides and reinforces education to patients,family members/caregivers, and facility/agency staff that is consistent with theestablished care plan for preventativemeasures, interventions, and individualizedpatient treatments.

e. Observes patient’s response and wound status,reporting any changes to the registered nurseor supervising clinician, according to facility oragency guidelines.

f. Contributes to the facility or agency qualityimprovement program, as assigned.

Physical Therapist (PT)/Occupational Therapist (OT)Role: The PT and OT plays a key role in oversight of the patient at-risk of or with wound care needs wake working under the guidance of a prescribing provider (e.g. physician, APR, Physician Assistant). Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure.

b. As part of the interdisciplinary wound careteam, contributes to the establishment andrevision of the individualized, comprehensivecare plan to promote wound prevention andhealing, provides input for care planconsideration and implementation perestablished protocols.

c. In conjunction with prescribing providersorders (physician, APRN, physician assistant),provides consultation and/or hands-on care forwound prevention or management.

d. Delegates appropriate actions for adjunctivemodalities specific to therapy administration,as part of an established individualized plan ofcare, to PT assistants and OT assistants.

e. Assesses, recommends, and providesadjunctive modalities specific to therapyadministration within the state’s scope ofpractice for therapy clinicians.

f. Assesses and makes recommendations forsupport surface selection.

g. Provides and reinforces education, consistentwith therapy-related aspects of theindividualized care plan (e.g. properpositioning, mobility), to patients, familymembers/caregivers, and facility/agencystaff.

h. Observes patient’s response and wound status,reporting any changes to the supervisingclinician, according to facility or agencyguidelines.

i. Contributes to the facility or agency qualityimprovement program, as assigned.

Physical Therapy Assistant (PTA)Role: The PTA plays a key role in oversight of the patient at-risk of or with wound care needs while working under the supervision of a Physical Therapist (PT). Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure.

b. As part of the interdisciplinary wound careteam, contributes to the establishment andrevision of the individualized, comprehensive

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care plan to promote wound prevention and healing, provides input for care plan consideration and implementation per established protocols.

c. In conjunction with prescribing provider’sorders (physician, APRN, physician assistant),and supervision of the PT, providesconsultation and/or hands-on care for woundprevention or management.

d. Initiates appropriate actions for adjunctivemodalities specific to therapy administration,as part of an established individualized plan ofcare, and as directed by the PT.

e. Assesses, recommends, and providesadjunctive modalities specific to therapyadministration within the state’s scope ofpractice for PTAs.

f. Assesses and makes recommendations forsupport surface selection.

g. Provides and reinforces education, consistentwith therapy-related aspects of theindividualized care plan (e.g. properpositioning, mobility), to patients, familymembers/caregivers, and facility/agencystaff.

h. Observes patient’s response and wound status,reporting any changes to the supervisingclinician, according to facility or agencyguidelines.

i. Contributes to the facility or agency qualityimprovement program, as assigned.

Occupational Therapy Assistant/Licensed (OTA) Role: The OTA plays a key role in oversight of the patient at-risk of or with wound care needs while working under the supervision of an Occupational Therapist (OT). Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure.

b. As part of the interdisciplinary wound careteam, contributes to the establishment andrevision of the individualized, comprehensivecare plan to promote wound prevention andhealing, provides input for care planconsideration and implementation perestablished protocols.

c. In conjunction with prescribing provider’sorders (physician, APRN, physician assistant),and supervision of the OT, providesconsultation and/or hands-on care for woundprevention or management.

d. Initiates appropriate actions for adjunctivemodalities specific to therapy administration,as part of an established individualized plan ofcare, and as directed by the OT.

e. Assesses, recommends, and providesadjunctive modalities specific to therapyadministration within the state’s scope ofpractice for OTAs.

f. Assesses and makes recommendations forsupport surface selection.

g. Provides and reinforces education, consistentwith therapy-related aspects of theindividualized care plan (e.g. properpositioning, mobility), to patients, familymembers/caregivers, and facility/agencystaff.

h. Observes patient’s response and wound status,reporting any changes to the supervisingclinician, according to facility or agencyguidelines.

i. Contributes to the facility or agency qualityimprovement program, as assigned.

Physician/D.O.Role: The physician/D.O. works independently or in collaboration with an APRN/PA to lead the interdisciplinary wound care team to plan and provide care for the patient at-risk of or with wound care needs. Responsibilities include but not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure, and facility or agency-basedcredentialing and privileging requirements toprovide patient care.

b. Independently or in collaboration with theAPRN or PA, the physician establishes wounddiagnosis, prognosis, and wound caretreatment.

c. Orders appropriate referrals and tests, whenindicated.

d. As a leader, provides oversight, assistance andguidance to other members of theinterdisciplinary wound care team to establish

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a comprehensive approach to wound management that includes all disciplines and promotes optimal outcomes.

e. Collaborates with the APRN, PA, RN and otherwound care team members to develop awound prevention plan.

f. Provides bedside treatments to includeconservative sharp debridement when needed.

g. Works with the interdisciplinary team toeducate patients, family members/caregivers,and facility/agency staff regardingpreventative measures, interventions, andindividualized patient treatment plans.

h. Collaborates with other wound careprofessionals to promote research and assessfindings to establish updated, relevantapproaches to improve wound prevention andwound care practices.

i. Collaborates with other wound care teammembers to promote the facility or agencyquality improvement program.

Physician Assistant (PA)Role: The PA works independently or in collaboration with a physician (according to state practice acts and facility/agency policies) to lead the interdisciplinary wound care team to plan and provide care for the patient at risk of or with wound care needs. Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure, and facility or agency-basedcredentialing and privileging requirements toprescribe medications, order tests andtreatments, and make necessary referrals.

b. Independently or in collaboration with thephysician comprehensively assesses andestablishes wound diagnosis, prognosis, andwound care treatment.

c. As a leader, provides oversight, assistance andguidance to other members of theinterdisciplinary wound care team to establishand provide a comprehensive approach towound management that includes alldisciplines and promotes optimum outcomes.

d. Provides bedside treatments to includeconservative sharp debridement, whenindicated and permitted by state practice actsand facility policy.

e. Independently, or in collaboration with otherinterdisciplinary wound care team members,develops and implements wound prevention,skin management, and wound treatmentprograms and provides correspondingeducation to patients, family members/caregivers, and facility/agency staff.

f. Collaborates with other wound careprofessionals to promote research and assessfindings to establish updated, relevantapproaches to improve wound prevention andwound care practices.

g. Collaborates with other wound care teammembers to promote the facility or agencyquality improvement program.

Doctor of Podiatric Medicine (DPM)Role: The DPM works independently or in collaboration with other team members (according to state practice acts and facility/agency policies) to lead the interdisciplinary wound care team to plan and provide care for the patient at risk of or with wound care needs. Responsibilities include but are not limited to:

a. Abides by state practice acts, regulations, andlaws established within the state/states oflicensure, and facility or agency-basedcredentialing and privileging requirements toprescribe medications, order tests andtreatments, and make necessary referrals.

b. Independently or in collaboration with theteam members comprehensively assesses andestablishes lower extremity wound diagnosis,prognosis, and wound care treatment.

c. As a leader, provides oversight, assistance andguidance to other members of theinterdisciplinary wound care team to establishand provide a comprehensive approach towound management that includes alldisciplines and promotes optimum outcomes.

d. Provides bedside treatments to includeconservative sharp debridement, whenindicated.

e. Independently, or in collaboration with otherinterdisciplinary wound care team members,develops and implements wound prevention,skin management, and wound treatmentprograms and provides correspondingeducation to patients, family members/caregivers, and facility/agency staff.

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f. Collaborates with other wound careprofessionals to promote research and assessfindings to establish updated, relevantapproaches to improve wound prevention andwound care practices.

g. Collaborates with other wound care teammembers to promote the facility or agencyquality improvement program.

Recertification DeadlinesAll WCC® credentials expire five (5) years to the date after initial certification. Expiration dates are located on your WCC® certificate and wallet card.

Applications for recertification will be accepted no earlier than 6 months prior to expiration of WCC® credential.

Recertification Fee $30.00 Application Processing fee (Non-refundable)

$350.00 Recertification fee

Recertification NotificationsNAWCO notifies certificants of recertification date at numerous intervals.

• 15 Months - Post Card mailed explainingpathways for recertification

• 12 Months - Email Reminder with date ofcertification expiration

• 6 Months - Email Reminder with date ofcertification expiration

• 3 Months - Email Reminder with date ofcertification expiration

• 30 Days - Email Reminder with date ofcertification expiration

• Within 30 days of Credential Expiring - Emailwith final opportunity to maintain credential

• Grace period month with extension offered.

Recertification RequirementsApplicants for recertification of the WCC® credential must meet all of the following criteria:

1. Active unrestricted license as a RegisteredNurse, Licensed Practical/Vocational Nurse,Nurse Practitioner, Physical Therapist, PhysicalTherapist Assistant, Occupational Therapist,Occupational Therapy Assistant, Physician, D.O.or Physician Assistant.

2. Current WCC® credential. (Not lapsed)

3. All candidates applying for recertification mustagree to abide by the NAWCO Code of Ethics.

4. Payment of required fees.

5. Submission of recertification application forone of the following recertification options:

a. Examinationb. Trainingc. Continuing Education (60 contact hours)d. Mentoring (Precept WCC Candidate)

Recertification OptionsEach WCC® must choose one of the following recertification options:

Option 1 - Recertification by ExaminationThis option allows you to apply for recertification by retaking the NAWCO® WCC® certification examination. The NAWCO® WCC® certification exam is available in a computerized format with a total testing time of two (2) hours at various computer testing sites. A passing score is required to qualify for recertification. See official NAWCO®

Certification Month and Day Expires:

Earliest Application Submission

6 months prior to expiration

January July

February August

March September

April October

May November

June December

July January

August February

September March

October April

November May

December June

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WCC® Candidate Handbook at www.nawccb.org for more details.

Rationale: Taking and passing the WCC examination provides documentation that the certified individual has adequate knowledge and understanding of the science of skin and wound care, gained through continued education and experience.

Requirements: By choosing the option of recertification by examination, the WCC® forfeits the opportunity to choose any other option for recertification. Example: A WCC® who fails the exam to recertify cannot change and recertify by submitting continuing education credits or by attending the training program.

You may apply and take the examination for recertification up to six (6) months prior to expiration of your credential. Upon receipt of your recertification application for examination, a confirmation letter will be sent to you with instructions for scheduling your examination. Please see the official NAWCO® WCC® Candidate Handbook for exam policies, procedures and study references.

Candidates who take the examination for recertification and are unsuccessful may retake the examination three (3) additional times for a total of four (4) attempts within the last (6) months prior to the credential expiration date. If you are unsuccessful after four (4) attempts, you are required to wait one (1) year before reapplying. If, however, you do not complete four (4) exam attempts, you do not have to wait one (1) year to reapply.

Candidates who do not pass the examination on their first attempt will be eligible to retest immediately after the date of their first failed attempt. NAWCO® does not require a waiting period between the first and second attempts. However, between the second and third, and the third and fourth attempts, candidates will be required to wait for 30 days before they will be scheduled to retest. This will provide the candidate with time to focus on areas of weakness identified on the score report strengthening their knowledge base.

All applications must be submitted and the exam must be passed prior to expiration of WCC® certification. Application and $380 fees are required for each examination. Candidates who do

not successfully pass the examination before the expiration date of their credentials will be considered “lapsed”. Please refer to “Reinstatement of Lapsed Credentials” section for further information.

Option 2 - Recertification by Training This recertification option allows candidates to attend a skin and wound management course (on-site or online course only, no exam required - additional fees apply)

Rationale:The NAWCO Certification Committee defines “training” as consecutive education taken over the course of multiple days. The training may be virtual or in-person but is facilitated by an instructor OR includes interaction between the individual and the content (i.e. assessments, interactive content, etc.). The training course must be approved by NAWCO to ensure the content is relevant to the WCC job role and necessary competencies.

This type of training provides relevant education in skin and wound care management and helps to enhance the certificant’s knowledge and skill.

Requirements: 1. When choosing to recertify by training, the

course should be completed no earlier than 6months prior to expiration of your WCC®credential, and must be completed prior tothe certification renewal date.

a. Certificant is responsible for choosing atraining course of at least 20 hours thatmeets the NAWCO® CertificationCommittee criteria.

b. Additional fees apply when choosingto recertify by training. Course feesare additional and will be paid to theeducational provider. Recertificationfees will be paid to NAWCO®.

c. Upon successful completion, thetraining course provider will issue acourse completion certificate. A copyof the certificate will be required byNAWCO® to complete therecertification process.

d. Once NAWCO® has received theapplication, recertification fees, and acopy of the certificate of completion,the certificant will receive email

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notification of successful recertification. The email will provide information on how to download new materials on the Certificants’s Login section of the NAWCO® website.

Option 3 - Recertification by Continuing EducationThis option allows for, and promotes, ongoing training and knowledge advancement over the certification period.

Rationale:Continuing education in wound and skin care management is a valuable way to stay up to date with changes in the industry and enhance the individual’s knowledge and skill in the job role. WCCs choosing this pathway are required to earn 60 hours of continuing education (CE) credits during the five-year cycle which equates to 12 hours per year. The 60 CE hours must be directly related to wound or skin care management. CE gives the individual flexibility in educational options.

The Certification Committee recognizes that there are limitations of continuing education, notably the individual may self-select topics with a focus on convenience rather than content. However, requiring accredited continuing education helps to ensure the certificant participates in quality and relevant content.

Requirements: To recertify by continuing education, sixty (60) contact hours (same as clock hours) of continuing education related to wound or skin care management must be earned within the five (5) year certification period. All contact hours must be obtained during the five year period to ensure adequate and current continuing education. A contact hour is defined as a unit of measurement that describes one (1) hour of an approved organized learning experience.

To receive credit for the contact hours, the educational program must be approved/accredited by either the state board governing your primary license (or any state board governing the professional license type under which you practice), the American Nurses Credentialing Center (ANCC®), American Physical Therapy Association, (APTA®) , Accreditation Council for Continuing Medical Education (ACCME®) , or Council on Podiatric Medical Education (CPME®) .

NAWCO® does not require the submission of copies of continuing education certificates with the re-certification application, however, each WCC® is responsible for maintaining his/her own records of CE programs completed. In general, records should be kept for two renewal periods (10 years). In the event you are selected by the NAWCO® for an audit, you will be required to submit copies of certificates and CE program documentation at that time.

Complete the Continuing Education Verification Form located online at https://www.nawccb.org/wp-content/uploads/2018/06/CE-HOURS-DOC-6.25-1-1.pdf

Option 4 - Recertification by MentoringThis type of training provides relevant education in skin and wound care management and helps to enhance the certificant’s knowledge and skill providing hands on clinical training

Rationale:Mentoring other clinicians in wound and skin care provides the opportunity for experienced, knowledgeable clinicians to provide oversight and training to clinicians less knowledgeable, with minimal experience.

The certification committee recognizes that this option for recertification provides an option for clinicians to use their knowledge in a way that enhances and builds not only the certification but new certificants as well.

Requirements: To recertify by mentoring, you must have successfully mentored/precepted one WCC® candidate within the five year certification period. This pathway can only be used by WCC®’s that have been approved by NAWCO® as preceptors.

To receive credit for mentoring:

1. You must identify the student that wasprecepted

2. The student has to have been approved for thepreceptor pathway

3. The student must have completed the 120hours of clinical practice prior to yourrecertification date.

4. All required paperwork must be in compliance(see Preceptor Pathway Manual for additionaldetails).

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Application ProcessApplications will NOT be processed until all fees have been paid. The processing of your WCC® recertification application will vary depending on pathway chosen, but will not exceed two (2) weeks. If your application is approved, you will receive an email with certification maintenance information and a new certificate. Recertification of your WCC® credential will be granted for five (5) years. If your application is denied, you will benotified in writing. Application fees are depositedupon receipt. If you withdraw your applicationafter submission, there are no refunds. If yourapplication is denied, you will be issued a refundless a $30 application-processing fee.

It is not necessary to send any supporting CE certificates with your application. Each WCC® is responsible for maintaining his/her own records of CE programs completed. In general, records should be kept for two (2) renewal periods (10 years). In the event you are selected by the NAWCO® for an audit, you will be required to submit copies of certificates, etc. at that time. If questions arise during the review of your application, you will be contacted via telephone or certified mail. You will have 15 days from the day you receive the letter to respond.

Deadlines and time frames are strictly enforced and the postmark is very important if you are mailing your application. Whether your application meets the deadline is determined by the postmark. This means that if you mail your application close to the application deadline, you might not learn whether your certification has been renewed until after the expiration date. Deadlines and time frames will apply whether the application is mailed, emailed, or faxed.

If at any time you have questions regarding the recertification process, please call NAWCO at 1-877-922-6292.

Recertification Application Instructions1. Complete WCC® Recertification

Application.

2. Complete additional paperwork as required

3. Submit along with $380 fee to:

a. National Alliance of Wound Care andOstomy®PO BOX 235Somonauk, IL 60552

b. Fax: 1-800-352-8339c. Email: [email protected]

Audit and Verification ProcessIn order to maintain the credibility and integrity of the certification process, the Certification Committee verifies the information provided on renewal applications to ensure renewal requirements are met. Requests for verification may be made prior to recertification or at a future time. Incomplete applications may result in delays or loss of certification.

All renewal applications are reviewed for accuracy and completion. Recertification applications are considered incomplete if any of the required information is missing and/or illegible, or the appropriate fee is not included. Recertification applications must be complete before they are processed and approved.

Professional licenses are checked for good standing and expiration dates. Random audits are conducted through the internal quality program to confirm information provided. This information is updated in each candidate’s file.

The National Alliance of Wound Care and Ostomy® conducts random audits to determine compliance with the recertification requirements. A process for auditing CE forms has been established by the Certification Manager. Approximately 15% of all recertification applications are chosen for audit. The Admissions Specialist reviews all CE submitted forms for compliance and chooses the applications to be audited. Selection of the file to be audited is random, and can be chosen from any recertification application submitted either online, by mail, email, or fax. Applications from each submission method will be considered when selecting an application to audit.

Any WCC® selected for audit will be notified by email within two (2) weeks of application receipt. If audited, the documentation required for audit must be submitted to the National Alliance of Wound Care and Ostomy® within 30 days of notice.

A WCC® may not renew his/her credential until audit documentation is received and approved by the National Alliance of Wound Care and Ostomy® Non-compliance will result in recertification by examination only.

Recertification AcceptanceThe Committee will issue a renewal letter, wallet card, and certificate to the certificant

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once all renewal requirements have been met. These documents will be accessed via the Certificant's Login Section on the NAWCO website and will include the expiration date 5 years from the renewal date. Certificate and wallet cards will be updated with each approved recertification. Access to the secured site is only available to candidates who have successfully met the recertification requirements. Non-credentialed clinicians or clinicians who have allowed their credential to lapse will not have access to the site. The site is structured so that only those who have a valid credential can access their information.

Certification information is updated daily and can be confirmed by the Locate a Clinician feature available on the website.

Renewal applications will not be accepted from individuals whose certification is in a state of suspension or has been revoked.

Failure to RecertifyCredentials are awarded for a five (5) year period. All WCC® credentials expire five (5) years to the date after initial certification. Upon expiration of the credentialing term, a WCC® is required to recertify with the NAWCO® to maintain their credentials. Upon successful completion of the recertification process, candidates may use the initials WCC® Wound Care Certified, to designate their status. Expiration dates are located on the WCC® certificate.

If the recertification requirements are not met, certification will expire. Any individual wishing to reinstate certification status after the expiration date and 90-day grace period allowance must follow the Lapsed Credentials procedure outlined below.

Applications for recertification will be accepted no earlier than 6 months prior to expiration of WCC® credential and no later than postmark of expiration date

Reinstatement of Lapsed CredentialsReinstatement of a lapsed credential is not the same process as recertification. Requirements for

reinstatement of lapsed WCC® credentials include all of the following criteria:

1. Active unrestricted license as a RegisteredNurse, Licensed Practical/Vocational Nurse,Nurse Practitioner, Physical Therapist, PhysicalTherapist Assistant, Occupational Therapist,Occupational Therapy Assistant, D.O.,Physician Assistant, or Physician.

2. Previous WCC® certification.

3. Active involvement in the care of wound carepatients, or in management, education orresearch directly related to wound care for atleast two (2) years full-time or four (4) yearspart-time within the past five (5) years.

4. Completion of application.

5. Payment of required fee. $380.00 forreinstatement of certification and $300.00 forlate fee. (Total $680.00)

6. Choice of one of the following pathways:

a. Successful graduate of skin & woundmanagement training course.

b. Receive passing score on examinationwithin two (2) years or four (4)attempts (whichever comes first) ofcredentials lapse*.

b. Complete the continuing educationverification form. (A minimum of 60contact hours per requirements mustbe documented). This form can befound at https://www.nawccb.org/wp-content/uploads/2018/06/CE-HOURS-DOC-6.25-1-1.pdf .

i. Copies of original “certificatesof completion” forms from eachcontinuing education programentered on the ContinuingEducation Verification Form maybe requested.

ii. Certificate of completion formsmust include your name, date,program title, provider,approved accreditingorganization, and the number ofcontact hours awarded.

7. A WCC® that successfully meets therequirements of the chosen and acceptedpathway, within 2 years of the credential

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lapsing, will maintain their original certification number.

8. A WCC® that does not successfully meet therequirements within 2 years of the credentiallapsing, will receive a new certificationnumber when all eligibility criteria have beenmet.

Final Ruling on Lapsed Credentials1. Reinstatement attempt WITHIN 2 YEARS

through Examination Pathway:

a. Unsuccessful: If examination pathway ischosen, after two years or four attempts,you will no longer be able to reinstate yourlapsed credential.

b. You will be required to wait one year andmeet all of the eligibility requirementsagain for certification under one of theexisting initial certification options.

2. Reinstatement attempt AFTER 2 YEARS:

a. A credential that has lapsed beyond 2 yearswill not be reinstated.

b. If you fail to apply to reinstate yourcredential within two years of thecredential expiration, you can applyimmediately and must meet all eligibilityrequirements again for certification underone of the existing certification options.

c. A new certification number will be issuedto successful candidates.

3. If you can demonstrate that you were falselyimprisoned, held hostage or otherwise heldagainst your will, on active duty out of the USin the military, or in a coma, and as a result,unable to complete your recertification priorto credential lapse, then you may reinstateyour credential via any of the recertificationoptions available.

Recertification Agreement Policy/Statement of UnderstandingThe National Alliance of Wound Care and Ostomy® (NAWCO®) is dedicated to the advancement and promotion of excellence in the delivery of skin and wound care management to the consumer.

1. NAWCO® has established a formallydocumented program under which any current

WCC® can recertify to demonstrate competence relating to their proficiency in skin and wound management. This program includes the WCC® professional Wound Care Certified certification credentials. Successful participants in this program may continue to use the WCC® certification credential.

2. Definitions:

a. “WCC® means any professional currentlycertified by the National Alliance of WoundCare and Ostomy® in consideration forbeing allowed to recertify by the NAWCO®agreed to the terms of this NAWCO®Recertification Program CandidateAgreement (“Agreement”).

b. “Marks” means the service mark and logopertaining to the certification credential.

3. Recertification: Applicant’s recertificationcredential is based on Applicant’s successfulcompletion of one of the four (4) requiredrecertification options and Applicant’scompliance with this Agreement and therequirements described in the correspondingNAWCO® trademark guidelines, the terms ofwhich are incorporated herein by reference,and which may be changed from time to timeby NAWCO® in its sole discretion. Applicantacknowledges that NAWCO® has the right tochange at any time the requirements forobtaining or maintaining any certification and/or to discontinue any certification in NAWCO®ssole discretion. Once recertification isgranted, applicant may maintain Applicant’scertification by completing, within the timeframe specified by NAWCO® all continuingcertification requirements, if any, thatcorrespond with Applicant’s WCC® credential.NAWCO® is responsible for keeping Applicantinformed of NAWCO®s continuing certificationrequirements and for maintaining Applicant’scertification. If Applicant does not completethe continuing recertification requirementswithin the time frame specified by NAWCO®Applicant’s certification for that credentialwill be revoked without further notice, and allrights pertaining to that certification(including the right to use the applicableMarks) will terminate. Applicant retainsApplicant’s certification status if Applicantleaves Applicant’s current employment and/orbegins working with a new organization.However, Applicant may not transferApplicant’s certification status to another

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person. Applicant agrees to make claims regarding certification only with respect to the scope for which the certification has been granted. Applicant agrees to discontinue use of the WCC® credential and promotion of the certification immediately upon expiration, suspension or withdrawal of certification. Applicant further swears to notify the NAWCO® in writing within 10 business days if they learn they are no longer eligible to hold the WCC® credential, such as in the event of suspension, placement of restrictions upon or revocation of the primary professional license. In the event of revocation of the credential, the applicant agrees to destroy all copies of the Certificate of Certification.

4. Notwithstanding anything in this agreement tothe contrary, NAWCO® has the right not togrant, continue, or renew applicant’scertification if NAWCO® reasonably determinesthat applicant’s certification or use of thecorresponding marks will adversely affect theNAWCO® This agreement applies to WCC®certification obtained by applicant.

5. Grant and Consideration: Subject to the termsand conditions of this Agreement, NAWCO®grants to Applicant a non-exclusive, personaland non-transferable license to use the Markssolely in connection with providing servicescorresponding to the certification credentialApplicant has achieved. Applicant may use theMarks on such promotional, display, andadvertising materials as may, in Applicant’sreasonable judgment, promote the servicescorresponding to Applicant’s certificationcredential and which are permitted by theterms of the NAWCO®s trademark guidelinescorresponding to the certification credential.Applicant may not use the Marks for anypurposes that are not directly related to theprovision of the services corresponding toApplicant’s particular certification. Applicantmay not use the Marks of WCC® unlessApplicant has completed the recertificationrequirements for the WCC® certificationcredential and has been notified by NAWCO®in writing that Applicant has achievedcertification status of WCC® NAWCO® reservesthe right to revise the terms of this Agreementfrom time to time. In the event of a revision,Applicant’s signing or otherwise consenting toa new agreement may be a condition ofcontinued certification.

6. Terms and Termination: This Agreement willcommence immediately upon Applicant’sacceptance of the terms and conditions of thisAgreement prior to approval of recertificationapplication. Termination by Either Party:Either party may terminate this Agreementwithout cause by giving thirty (30) days ormore prior written notice to the other party.Termination by NAWCO®: Without prejudice toany other rights it may have under thisAgreement or in law, equity, or otherwise,NAWCO® may terminate this Agreement uponthe occurrence of any one or more of thefollowing events (“Default”):

a. If Applicant fails to perform any ofApplicant’s obligations under thisAgreement;

b. If any government agency or court findsthat any services as provided by Applicantare defective or improper in any way,manner or form; or

c. If actual or potential adverse publicity orother information, emanating from a thirdparty or parties, about Applicant, theservices provided by Applicant, or the useof the Marks by Applicant causes NAWCO®in its sole judgment, to believe thatNAWCO®’s reputation will be adverselyaffected. In the event of a Default,NAWCO® will give Applicant written noticeof termination of this Agreement.

d. Applicant fails to meet recertificationcriteria prior to expiration date of theircredentials.

In the event of a Default under (ii) or (iii)or above, NAWCO® may immediatelyterminate this Agreement with no periodfor correction and without further notice.In the event of a Default under (a) or (d)above, or at NAWCO®’s option under (b) or(c) above, Applicant will be given thirty(30) days from receipt of notice in which tocorrect any Default. If Applicant fails tocorrect the Default within the noticeperiod, this Agreement will automaticallyterminate on the last day of the noticeperiod without further notice.

Effect of Termination: Upon termination of this Agreement for any reason, Applicant will immediately cease all display, advertising, and other use of the Marks and

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cease all representations of current certification. Upon termination, all rights granted under this Agreement will immediately and automatically revert to NAWCO®.

7. Conduct of Business. Applicant shall:

a. Exercise its independent business judgmentin rendering services to Applicant’scustomers;

b. Avoid deceptive, misleading, or unethicalpractices which are or might bedetrimental to NAWCO® or its products;and

c. Refrain from making any representations,warranties, or guarantees to customers onbehalf of NAWCO®.

d. Without limiting the foregoing, Applicantagrees to not misrepresent Applicant’scertification status or Applicant’s level ofskill and knowledge related thereto.

8. Indemnification By Applicant: Applicant agreesto indemnify and hold NAWCO® harmlessagainst any loss, liability, damage, cost orexpense (including reasonable legal fees)arising out of any claims or suits made againstNAWCO®

a. by reason of Applicant’s performance ornon-performance under this Agreement;

b. arising out of Applicant’s use of the Marksin any manner whatsoever except in theform expressly licensed under thisAgreement; and/or

c. for any personal injury, product liability, orother claim arising from the promotionand/or provision of any products orservices by Applicant. In the eventNAWCO® seeks indemnification under thisSection, NAWCO® will notify Applicant inwriting of any claim or proceeding broughtagainst it for which it seeksindemnification under this Agreement. Inno event may Applicant enter into anythird party agreements which would in anymanner whatsoever affect the rights of, orbind, NAWCO® in any manner, without theprior written consent of NAWCO®. ThisSection shall survive termination orexpiration of this Agreement and allNAWCO® recertification programs for anyreason.

9. Disclaimer of Warranties; Limitation ofLiabilities: NAWCO® makes, and Applicantreceives, no warranties or conditions of anykind, express, implied or statutory, related toor arising in any way out of any recertification,any NAWCO® certification program, or thisAgreement. NAWCO® specifically disclaims anyimplied warranty of merchantability, fitnessfor a particular purpose and non-infringementof any third party rights. In no event shallNAWCO® be liable for indirect, consequential,or incidental damages (including damages forloss of profits, revenue, data, or use) arisingout of this Agreement, any NAWCO®recertification program, or incurred by anyparty, whether in an action in contract or tort,even if NAWCO® has been advised of thepossibility of such damages. NAWCO®s liabilityfor damages relating to any recertification,any NAWCO® certification program, or thisAgreement shall in no event exceed theamount of application fees actually paid toNAWCO® by Applicant. Some jurisdictions donot allow limitations of the liability so certainof these limitations may not apply; however,they apply to the greatest extent permitted bylaw. Applicant acknowledges and agrees thatNAWCO® has made no representation,warranty, or guarantee as to the benefits, ifany, to be received by Applicant from thirdparties as a result of receiving certification.This Section shall survive termination orexpiration of this Agreement and all NAWCO®recertification programs for any reason.

10. General Provisions: Wisconsin law, excludingchoice of law provisions, and the laws of theUnited States of America govern thisAgreement. Failure to require compliance witha part of this Agreement is not a waiver of thatpart. If a court of competent jurisdiction findsany part of this Agreement unenforceable,that part is excluded, but the rest of thisAgreement remains in full force and effect.Any attempt by Applicant to transfer or assignthis Agreement or any rights hereunder is void.Applicant acknowledges and agrees thatApplicant and NAWCO® are independentcontractors and that Applicant will notrepresent Applicant as an agent or legalrepresentative of NAWCO®. This Agreementand all documents incorporated herein byreference are the parties’ complete andexclusive statement relating to their subjectmatter. This Agreement will not besupplemented or modified by any course of

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dealing or usage of trade. Any modifications to this Agreement must be in writing and signed by both parties. Applicant agrees to comply, at Applicant’s own expense, with all statutes, regulations, rules, ordinances, and orders of any governmental body, department, or agency which apply to or result from Applicant’s rights and obligations under this Agreement.

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WCC® Recertification At A Glance

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NAWCO® Recertification Application

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ANY MISSING OR INCOMPLETE INFORMATION MAY CAUSE DELAY IN PROCESSING (1/2018)

1. PRINT NAME: (As listed on your Professional License) ALL ITEMS MUST BE COMPLETED TO BE ELIGIBLE FOR RECERTIFICATIONLAST: FIRST: MIDDLE:

2. MAILING ADDRESS: (Street, City, State & Zip Code)

7.CERTIFICATION #:

8. PROFESSIONAL TITLE (LPN, RN, PT, etc) License Type: _______________ License #(s):_____________________________

State:_________ ORIGINAL Issue Date:______________________ Expiration Date: __________________

11. CURRENT EMPLOYER:

12. APPLICATION-CERTIFICATION FEES: Non-Refundable Processing Fee & Recertification Fee . . . . . . $380.00

13. Agreement Authorization and Certification Information ReleaseBy submitting this NAWCO® Recertification Application, I acknowledge that all supporting documentation provided is true and accurate. If the activities listed on the Activity Report or the supporting verification documents are falsified in any fashion, I understand that this will result in the revocation of my NAWCO® credential.

I affirm that I am currently licensed to practice as a ________________ in the state of _________________.

I further affirm that no licensing authority has current disciplinary action pending against my license to practice in the aforementioned or any other state, and that my license to practice is not currently suspended, restricted or revoked by any state or jurisdiction.

I authorize the National Alliance of Wound Care and Ostomy® Certification Board to make whatever inquires and investigations that it deems necessary to verify my credentials and professional standing. I further allow the National Alliance of Wound Care and Ostomy® Certification Board to use information from my application for the purpose of statistical analysis, provided my personal identification with that information has been deleted.

I have read and understand all the information provided in the NAWCO® recertification handbook. I further agree to abide by the policies and procedures as set forth in the NAWCO® recertification handbook and all conditions included in the NAWCO® candidate recertification agreement.

For listing in the National Alliance of Wound Care and Ostomy® Directory, I hereby authorize the National Alliance of Wound Care and Ostomy® its licensees, successors, and assigns (collectively "NAWCO®") the right to publish and release my name, past and present certification status under the NAWCO® Certification Directory, and state/province (collectively "Certification Information") in print and electronic versions of a worldwide directory of NAWCO® Certified Practitioners.

If the NAWCO®, is required by law to release your confidential information, you will be notified by email at the address we have on file, unless prohibited by law. I release the NAWCO®, its subsidiaries and affiliates and their employees, successors, and assigns from any claims of damages for libel, slander, invasion of rights of privacy or publicity, and any other claim based on the publication or release of any Certification Information as specified in this Certification Information Release.

I agree to make claims regarding certification only with respect to the scope for which the certification has been granted. I agree to discontinue use of the NAWCO® credential and promotion of the certification immediately upon expiration, suspension or withdrawal of certification. I further swear to notify the NAWCO® in writing within 10 business days if I learn I am no longer eligible to hold the NAWCO® credential, such as in the event of suspension, placement of restrictions upon or revocation of the primary professional license. I understand that failure to notify the NAWCO® of any of the above listed disciplinary actions will result in revocation of certification and/or denial of recertification. In the event of revocation of the credential, I agree to destroy any copies of the Certificate of Certification.

By signing this agreement, I hereby swear and attest to all the contents of the Candidate Recertification Agreement Policy/ Statement of Understanding contained within this Candidate Recertification Handbook.

I further agree to abide by the NAWCO® Code of Ethics as set forth and noted in the WCC® Recertification Handbook.

Signature: __________________________________________________________ Date: __________________________

10. COURSE TYPE: (Required forOption 2: When Choosing Onsiteenter location and dates)

Online Onsite Date: _______________

Location: _____________________

3. DAYTIME TELEPHONE # 4. E-MAIL: 5. ADA:YES NO

9. RECERTIFICATION OPTION: (Indicate your choice and complete additional requiredforms if applicable)

Option 1: Examination - No Additional Forms Option 2: Training - (Onsite/Online Course) Provider: _________________________ Option 3: Continuing Education (CE Verification Form) Option 4: Mentoring (WCC ONLY) - Student:__________________________________

6. SELECT CREDENTIAL FOR RECERTIFICATION: WCC DWC LLE OMS NWCC

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NAWCO® Recertification Application page 2 Applicant Name:

14. PAYMENT: CREDIT CARD AUTHORIZATION FORM: Complete this section ONLY if paying by Credit Card

I, _____________________________________________, hereby authorize the National Alliance of Wound Care and (Name exactly as it appears on card)

Ostomy to charge my credit card account for the amount of $_______________ for __________________________________.

❑ Visa ❑ MasterCard ❑ American Express (NO DISCOVER)

Credit Card Number _________________________________ Expiration Date _____/_____ Security Code* ____________ *3-digit code found on signature strip at the end of a series of numbers

Credit Card Billing Address: (Address where cardholder receives bill)

Street _________________________________________________________________________________________________

City______________________________________________ State____________________ Zip________________________

Card Holder Email: __________________________________Telephone: ___________________________________________

Cardholder Signature: __________________________________________________________ Date: _____________________

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Request for Special Examination Accommodations

Please complete/return this form and the “Documentation of Disability-Related Needs” on the next page at least six (6) weeks prior to test date, so your accommodation for testing can be processed efficiently. The information you provide and any documentation regarding your disability and your need for accommodation in testing will be considered strictly confidential and will not be shared with any outside source without your express written consent. If you have existing documentation of the same or similar accommodation provided for you in another test situation, you may submit such documentation instead of having the reverse side of the form completed by an appropriate professional.

Applicant Information:

_____________________________________________________________________________________________ Last Name First Name Middle Name

_____________________________________________________________________________________________ Address

_____________________________________________________________________________________________ City State Zip Code

_____________________________________________________________________________________________ Daytime Telephone Fax Email

Special Accommodations

I request special accommodations for the ______ / ______ administration of the NAWCO® Credential examination. Month Year

Please provide (check all that applies):

______ Accessible testing site ______ Special seating ______ Large print test (available for paper & pencil proctored examination only) ______ Circle answers in test booklet (available for paper & pencil proctored examination only) ______ Extended testing time (available for computer examination at a PSI testing center - max 2 hours) ______ Separate testing area (table only at PSI testing center) ______ Other special accommodations (please specify) _____________________________________________________________________________________________

_____________________________________________________________________________________________

Comments:___________________________________________________________________________________

_____________________________________________________________________________________________

Signed: ____________________________________________________ Date: _____________________

Return this form with your examination application to:

National Alliance of Wound Care and Ostomy® PO BOX 235 Somonauk, IL 60552 Or fax to: 1-800-352-8339 Or email: [email protected]

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Documentation of Disability-Related Needs

If you have a learning disability, a psychological disability, or other disability that requires an accommodation in testing, please have this section completed by an appropriate professional (education professional, doctor, psychologist, psychiatrist) to certify that your disabling condition requires the requested test accommodation. If you have existing documentation of the same or similar accommodation provided for you in another test situation, you may submit such documentation instead of completing the “Professional Documentation” portion of this form.

Professional Documentation

I have known _______________________________________ since _____ / _____ / _____ (Applicant)

in my capacity as _____________________________________________________________. (Professional Title)

The applicant discussed with me the nature of the test to be administered. It is my opinion that because of this applicant’s disability described below, he/she should be accommodated by providing the special arrangements identified on the Special Examination Accommodation Form.

Comments:

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________ Signed:

___________________________________________________________Title:_____________________________

Printed Name: _____________________________________________________

Address:

_____________________________________________________________________________________________ _____________________________________________________________________________________________

Telephone Number: __________________________________ Email: ___________________________________

License # (If applicable):_______________________________ Date: ___________________________________

Return this form with your examination application and request for special examination accommodations to:

National Alliance of Wound Care and Ostomy® PO BOX 235 Somonauk, IL 60552 Or fax to: 1-800-352-8339 Or email: [email protected]

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Continuing Education Verification RecordInstructions: Use this form to document your contact hours/continuing professional education units. Refer to Candidate Handbook for specific instructions for completion of this form.

1. Submitting for Lapsed Credential - Include copies of Certificates of Completion

2. Submitting for Recertification - Complete form, certificate copies not required unless requested by NAWCO.

(Contact Hour Equivalencies: 1 CH is approximately 50 - 60 minutes of actual education time. 1 CH = 1 CPEU)

Name________________________________________________________________________________________ First Last MI

Record of Contact Hours/Continuing Professional Education Units

Title/Subject Matter/Content

Date Sponsor/Provider/Institution Location CH/CPEU

Total contact hours

I hereby acknowledge that the above stated activities and contact hours are valid and represent my continued education in the area of skin, wound and/or nutrition management if applicable. I also understand that my misrepresentation or falsification of these activities could lead to denial of my NAWCO® credential.

__________________________________________________________________________________________ Signature Date

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!

RETURN COMPLETED APPLICATION WITH FEES TO:

National Alliance of Wound Care and Ostomy® PO BOX 235

Somonauk, IL 60552 Or fax to: 1-800-352-8339

Or email to: [email protected]

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